Individual
DR. DAVID JAMES HEIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
11378 CHASE ST, TREMPEALEAU, WI 54661-9240
(608) 534-6090
Mailing address
11378 CHASE ST, TREMPEALEAU, WI 54661-9240
(608) 534-6090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4249
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4249-012
WI STATE LICENSE
WI
Enumeration date
09/23/2006
Last updated
07/08/2007
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